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General NPI Number Information
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NPI Number | 1285856997
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Entity Type | Organization
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Legal Business Name | BARBARA L. GOLDMAN, PH.D., & PHILIP C. BOSWELL, PH.D., P.A.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 250 CATALONIA AVE SUITE 802
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City | CORAL GABLES
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State | FL
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Zip | 33134-6735
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Country | US
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Telephone | 305-445-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 250 CATALONIA AVE SUITE 802
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City | CORAL GABLES
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State | FL
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Zip | 33134-6735
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Country | US
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Telephone | 305-445-1400
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Fax |
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DR. PHILIP CARPENTER BOSWELL
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Credential | PH.D.
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Telephone | 305-445-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY2067 PY2234
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License Number State | FL
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